Individual provider Active NPI

Heather Jackson-Brown, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1528525292
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67619 Issued in TX
Practice address
6201 Bonhomme Rd Ste 288N
Houston, TX 77036-4365
Phone
(832) 862-7997
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Clinical Social Worker 1041C0700X 149025723 IL
Clinical Social Worker 1041C0700X 67619 TX Primary

Addresses

Primary practice location

6201 Bonhomme Rd Ste 288N
Houston, TX 77036-4365

Mailing address

602 E Cindy St
Carbondale, IL 62901-3302
Phone (618) 713-9957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, MO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231212001064 IL Practitioner - Clinical Social Worker 1254706245 Reassigns benefits to 1 organization
I20260305001702 IN Practitioner - Clinical Social Worker 1254706245 Reassigns benefits to 1 organization
I20260328000221 MO Practitioner - Clinical Social Worker 1254706245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Practice addresses (Care Compare)

1000 W Sloan St
Harrisburg, IL 62946-2234
Phone (312) 447-1941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67619TXMDProfessional Counselor
149025723ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lei Behavioral Services LLC Multi-Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: heather.jackson-brown.1@30520.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1528525292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 E CINDY ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013302",
            "telephone_number": "618-713-9957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BONHOMME RD STE 288N",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364365",
            "telephone_number": "832-862-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-BROWN",
        "first_name": "HEATHER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149025723",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.